Diabetes

Question 1

Diabetes indication for statin therapy

Answer 1

All patients >40 with DM, regardless of LDL level

Question 2

Goal A1C in general

Answer 2

<7%

Question 3

Intensive glycemic control in type 2 diabetes has been found to improve which kind of complications?

Answer 3

Microvascular ones - nephropathy and retinopathy

Question 4

Large fiber neuropathy major symptoms

Answer 4

Numbness and poor balance

Question 5

Small fiber neuropathy symptoms

Answer 5

Burning and stabbing pain

Question 6

Large fiber sensory functions

Answer 6

Pressure, proprioception and balance

Question 7

Small fiber neuropathy sensory function

Answer 7

Pain and temperature

Question 8

Dysmetria is

Answer 8

Abnormal finger to nose test

Question 9

Normal blood sugar fasting or before meals

Answer 9

4-7 mmol/L

Question 10

Normal blood glucose 2 hrs after meal

Answer 10

5 - 10 mmol/L

Question 11

how is RAAS system affected in diabetic nephropathy

Answer 11

increased activity

Question 12

Diabetic nephropathy can be treated by

Answer 12

ACE/ARBs which block efferent arteriole vasoconstriction and reduce glomerular pressure

Question 13

Prostaglandin E2 analogs preferentially dilate

Answer 13

Afferent arterioles

Question 14

Glucose >600 mg/dL, altered mentation in diabetics

Answer 14

Hyperosmolar hyperglycemic state (HHS)

Question 15

Immediate management of patient in hyperosmolar hyperglycemic state

Answer 15

Normal saline, insulin, potassium if less than 5.3